FAZLE AZEEM

FREEPORT, NY
NPI1760057194
Former NameMD FAZLE AZEEM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  109585-01)
Enumeration Date2021-05-27
Last Update Date2024-08-26
Business Address
FAZLE AZEEM MD
275 W MERRICK ROAD
FREEPORT, NY 11520
Phone number: 516-623-4000
Mailing Address
FAZLE AZEEM MD
40 DORA ST
STATEN ISLAND, NY 10314-2107
Phone number: 917-202-8684